Only one out of four Americans say they’re in favor of the Affordable Care Act, putting support of the controversial health-care law at its lowest since it was passed in 2010, according to a new poll. Nearly a third think there are major changes in store for the law.

The recent Associated Press-GfK survey found that public approval for Obamacare has dropped since April 2010 from 39 percent to 26 percent. Over that same period, disapproval has gone from 50 percent to 43 percent. The most significant change has been in the number of Americans who neither support not oppose it, going from 10 percent to 30 percent.

Despite the overwhelming opposition to the law, respondents did not have high hopes for its repeal, with just 13 percent thinking it will be completely scrapped. Meanwhile, 30 percent foresaw “major changes” to the law and 42 percent predicted “minor” ones. Although the law has already undergone a number of changes since its passage, whether legislatively or unilaterally by the administration, 12 percent think it will be implemented as originally passed.